Prestige Affiliates
NPI 1417875964ActiveOrganization· Nurse Practitioner, Family· Ewing, NJ
Nurse Practitioner, Family in Ewing, New Jersey, registered in NPPES in July 2026. The authorized official on file is Rasheeda M. Brown, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417875964 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2026 |
| Last updated in NPPES | Jul 9, 2026 |
| Certified by provider | Jul 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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